St Elizabeths Hospital Outpatient Pharmacy

LBN: St Elizabeths Hshs
St Elizabeths Hospital Outpatient Pharmacy is an health care organization with primary practice located at 211 S 3Rd St , Belleville IL 62220-1915. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. St Elizabeths Hshs can be contacted via phone (618) 234-2120, or through Evard, Mark D via phone (217) 492-9651.

Contact Information

Primary practice address
211 S 3Rd St Belleville IL 62220-1915
Phone: (618) 234-2120
Fax: (618) 222-4786
Website:
Map and Directions
Authorized official contact:
Name: Evard, Mark D
Phone: (217) 492-9651

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 054017328 051040885 Illinois

Profile Details

NPI number 1366507485
LBN Legal business name St Elizabeths Hshs
DBA Doing business as St Elizabeths Hospital Outpatient Pharmacy
Authorized official Evard, Mark D
Entity Organization
Organization subpart 1 No
Enumeration date Dec 27th, 2006
Last updated Sep 19th, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366507485 NPPES
Other 1470676 NCPDP PROVIDER IDENTIFICATION NUMBER

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